CHANGSOOK KIM DDS A DENTAL CORP
CHANGSOOK KIM DDS A DENTAL CORP is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1710018254, based in Duarte, CA. The organization lists 2 taxonomy classifications, with General Practice Dentistry recorded as primary.
Getting there
The practice address on file is 1755 E HUNTINGTON DR #101, Duarte, CA 91010. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 39166 | CA | General Practice Dentistry primary |
| 39166CA | CA | Dentist |
This provider holds licence 39166 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What General Practice covers
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. NUCC Health Care Provider Taxonomy, code 1223G0001X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry General Practice | 39166 | CA | primary |
| 122300000X | Dentist | 39166CA | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1710018254 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 8, 2007 |
| Last updated | Jul 11, 2008 |
| Status | Active |
| Practice address |
1755 E HUNTINGTON DR #101 Duarte, CA 91010 (626) 357-9909 Fax (626) 358-7245 |
| Mailing address |
1755 E HUNTINGTON DRIVE #101 Duarte, CA 91010 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 1 | 0 | 0 | 1 | 8 | 2 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 2 | 0 | 0 | 1 | 7 | 2 | 1 |
Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.